5.Noman Rashid Muhammad Et Al

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ABSTRAC¬TIntroduction:Spirometry is important in the diagnosis and management of chronic obstructive pulmonary disease (COPD), yet it is a common clinical observation that it is underused though the extent is unclear. This survey aims to examine the use of spirometry in the diagnosis and management of COPD patients in districts of, Karachi. Material and Methods:It is a cross-sectional survey involving four clinic settings: hospital-based respiratory specialist clinic, hospital-based mixed medical specialist clinic, general outpatient clinic (primary care), and tuberculosis and chest clinic. Thirty physician-diagnosed COPD patients were randomly selected from each of the four clinic groups. All of them had a forced expiratory volume in 1 second (FEV1) to forced vital capacity (FVC) ratio less than 0.70 and had been followed up at the participating clinic for at least 6 months for COPD treatment. Results:Of the 120 COPD patients, there were 111 males and mean post-bronchodilator FEV1 was 46.2% predicted. Only 22 patients (18.3%) had spirometry done during diagnostic workup, and 64 patients (53.3%) had spirometry done ever.Conclusion: We conclude that spirometry is underused in general but especially by non-respiratory physicians and family physicians in the management of COPD patients. More effort at educating the medical community is urgently needed.KEYWORDS: Pulmonary function tests, Specialist, Forced expiratory volume in 1 second (FEV1), Forced vital capacity (FVC).

Transcript of 5.Noman Rashid Muhammad Et Al

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 20

Original Article

1Assistant Professor, Department of Physiology, 2Associate Professor, Department of Pathology, Shaheed Mohtarma Benazir Bhutto Medical

College, Karachi. 3Associate Professor, Department of Community Health Sciences, Ziauddin University, Karachi. 4Professor & Chairman,

Department of Physiology, University of Sindh, Jamshoro Sindh. 5Senior Instructor, Department of Obstetrics & Gynaecology, Aga Khan University

Hospital, Karachi.

*Corresponding author email: [email protected]

Received: 29th Apr 2015, Accepted: 28th May 2015.

ABSTRACT

KEYWORDS:

INTRODUCTION

ISSN: 2395 - 0471
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 21

MATERIALS AND METHODS
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

RESULTS

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 22
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 23
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 24
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 25
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

DISCUSSION

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 26
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

CONCLUSION

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 27
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

REFERENCES

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 28
The Underuse of Spirometery in Routine Medical Practice for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) Patients in Karachi, Pakistan Muhammad Noman Rashid et al.

Int J Clin and Biomed Res. 2015;1(3): 20-29 Page 29